VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 1026496
Sex: F
Age: 36
State: OH

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Dizzy

Other Meds: None

Current Illness: None

ID: 1026497
Sex: F
Age: 65
State: IL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Vasovagal reaction

Other Meds: Tamoxifen, Centrum Multi Vitamin, OsCal calcium, Zyrtec

Current Illness: None

ID: 1026498
Sex: M
Age: 42
State: CO

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: COVID19 testing= negative

Allergies: citalopram hydrobomide, erythromycin, escitalopram oxalate, fluticasone propionate, Zoloft,

Symptoms: Temperature of 103, vomiting, chills, body aches, joint pain, head ache, joint swelling. Tylenol and fluids. It lasted approximately 48 hours.

Other Meds: Vitamin C, Vitamin D, and Zinc

Current Illness: none

Date Died: 02/05/2021

ID: 1026499
Sex: F
Age: 75
State: WI

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None done at facility

Allergies: Carvedilol, Tizanidine, Augmentin, ACE inhibitors, Bees

Symptoms: Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through pharmacy. Resident had her temp/O2 taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours later noted that resident to have chills and was shaking RN assessment completed and vitals taken resident noted to have temp of 102.2, oxygen 95%, pulse 110. Resident alert and oriented at that time and talking to staff. Reported findings to APNP with order to send to ER. 911 called, residents brother updated. Upon EMT arrival RN went down to residents room with EMT and resident had an emesis as resident was getting cleaned up resident went unresponsive. Pulse noted to still be present at that time, resident did briefly respond to sternal rub and then went unresponsive again. Resident full code and EMT transferred to gurney and said that if they lost a pulse in route that they would transfer to hospital B instead of hospital A being the closest facility. RN called brother and gave update. Facility notified from Hospital that resident had passed away.

Other Meds: Lactulose, Lasix, Megestrol Acetate, Metoprolol Tartrate, Spironolactone, Lasix, Vitamin B12, Rifaximin, Milk Thistle, Tramadol

Current Illness: Enterococcus UTI, acute on chronic systolic and diastolic heart failure

ID: 1026500
Sex: F
Age: 35
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Increased heart rate this morning normal heart rate 60's. This morning 120 when waking up. Now at 80's.

Other Meds:

Current Illness:

ID: 1026501
Sex: F
Age: 42
State: VA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Needle came loose from luer lock syringe while administering. Most of the vaccine ran down outside arm. Readministered dose.

Other Meds: Synthroid

Current Illness: None

ID: 1026502
Sex: M
Age: 63
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills, body aches, headache, injection site pain

Other Meds:

Current Illness:

ID: 1026503
Sex: F
Age: 60
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever=101.1 Body aches Chills I took two Tylenol twice

Other Meds: None

Current Illness: None

ID: 1026504
Sex: F
Age: 34
State: NY

Vax Date: 01/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: 02/09/2021 saliva PCR test, resulted 02/11/2021

Allergies: none

Symptoms: I received my second dose of Pfizer vaccine on 1/8/2021. I had titers drawn to check my immunity by the vaccine on 1/30/2021 and they were high. I have tested positive for Covid with a P23 PCR saliva test on 02/09/2021. I have mild symptoms: aches, low grade temp, intermittent cough

Other Meds: Wellbutrin 300mg XL daily, vit D3 50mcg M/W/F, Fish Oil 1200mg daily, pure encapsulations women's nutients 1 capsule daily

Current Illness: none

ID: 1026505
Sex: F
Age:
State: PA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Pencillin Erythromycin Keflex Remicade Metronidazole Azithromycin

Symptoms: Within 7-8 hours had diffuse itching without rash. Also over time developed mild itchy throat and lip swelling >24 hours after. Has been using hydrocortisone cream and Benadryl. Spoke with PCP 2 days after shot who advised her to continue those and advised against her getting the second shot. She is feeling a little better030. She is also documenting symptoms in website.

Other Meds: Losartan Synthroid Neurontin Zyrtec

Current Illness: None

ID: 1026506
Sex: F
Age: 57
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Not on file

Symptoms: Patient had reported having tingling in throat and pre-medicating for first Moderna vaccine. Patient received second dose and was observed for 30 minutes. She reported feeling tingling in her throat as well as "heaving tongue and top lip." She reported that this happens when she eats grouper and she usually takes Benadryl to resolve it. Her O2 sat was 98% and HR 82 bpm. She was given Benadryl 25 mg, then monitored an additional 45 minutes. Her O2 sat was now 100% and HR 78 bpm. She reported feeling back to normal and left.

Other Meds: Not on file

Current Illness:

ID: 1026507
Sex: F
Age: 83
State: CA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: all opioids -- anaphylactic shock

Symptoms: I developed a very sore arm. It swelled around the injection site, turned red, formed a hard lump and was hot to the touch.. This has lasted all week but it has become progressively less. I am very active (for my age). I swim 1/2 mile laps twice a week; do regular exercises for balance and to relieve back pain and regularly do tai chi. I think this exercise, especially with my arms has helped reduce the symptoms. The symptom wasn't serious and did not impede my activities. I am sending this because I thought it might be helpful.

Other Meds: Diuretic.

Current Illness: None

ID: 1026508
Sex: F
Age: 59
State: TX

Vax Date: 01/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Report left arm stiffness and pain one month post injection. Treatment: Aleve; Outcome: Mild improvement does not interfere with ADLs.

Other Meds:

Current Illness:

ID: 1026509
Sex: F
Age: 32
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches, headache, injection site pain

Other Meds:

Current Illness:

ID: 1026510
Sex: F
Age: 76
State: OH

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: NONE

Allergies: NKDA OR NO ALLERGIES TO FOODS

Symptoms: AN HOUR AFTER THE VACCINATION, THE PATIENT DEVELOPED SMALL BLISTERS ON HER NECK ON THE LEFT SIDE, SHE ALSO NOTICED THAT THEY HAD DEVELOPED ON HER LEFT SHOULDER AND DOWN HER BACK. THE BLISTERS GOT LARGER ON HER SHOULDER AND BACK THAN THE ONES ON HER NECK. THEY WERE FILLED WITH LIQUID. SHE RECEIVED THE VACCINE IN HER LEFT ARM. I ADVISED HER TO TAKE BENADRYL AND CALL THE DOCTOR OR GO TO ER IF SYMPTOMS PERSISTED OR GOT WORSE.

Other Meds: REQUIP, TRAZODONE, OMEPRAZOLE, LYRICA, IRBESARTAN, FISH OIL, OSTEO BI FLEX, CALCIUM, VITAMIN D3, PERCOCET

Current Illness: NONE

ID: 1026511
Sex: F
Age: 71
State:

Vax Date: 01/28/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Right arm bicep has a hive-like are 7" long x5"wide.

Other Meds:

Current Illness:

ID: 1026512
Sex: M
Age: 73
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Left arm aching approximately 30 after shot. Fever of 99.4, chills, small headache and tired about 6:00 pm night of shot. Fever of 100.1, headache and chills at 4:30 am this morning. Fever of 99.1 right now at 12:30 pm this afternoon. I gave him Tylenol night time for severe colds and flu at 4:30 this morning and Tylenol daytime at 12:00 pm this afternoon.

Other Meds: None

Current Illness: Light symptoms of covid 01/16/20 lasting for approximately 4 days.

ID: 1026513
Sex: F
Age: 33
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Penicillin, Ibuprofen

Symptoms: Mild muscle and eye aches starting at 6:30pm on 2/10 (day of vaccination), progressing to moderate-severe by 11:30pm and treated with Tylenol. Moderate response to medication. Continued for approximately 36 hours, again responding moderately to Tylenol and later addition of Aleve. Almost completely resolved about 8pm 2/11 with some lingering mild fatigue. No fever recorded but also did not check often. Also mild soreness at the injection site not yet resolved, and mild swelling at the injection site lasting ~8hr (noted before bed 2/10, resolved before morning).

Other Meds: Levothyroxine, wixella, montelukast, zyrtec, vit. D, nasocort

Current Illness: Recent mild GI illness (nausea, stomach pain) of 24h duration on 2/7

ID: 1026514
Sex: F
Age: 74
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/A

Allergies: Lidocane, sulfa, IV dye, selden, methalocate, spetra, Ibuprofen

Symptoms: Patient states Fuzzy, light headed, head feel heavy like she wants to go to sleep. BP 156/78, reports she needs fresh air, feels claustrophobic. RN took the patient outside, took her mask off and started feeling better. NO SOB no respiratory distress, denied pain. Patient education provided and instructed to call her PCP asap for appointment.

Other Meds: Lisinopril, simvastatin,

Current Illness: None

ID: 1026515
Sex: F
Age: 51
State: FL

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: EKG, troponins, BNP, chemistry, TSH, CBC, CT angio= ALL NORMAL covid19 PCR= NEGATIVE

Allergies: NSAIDs Cats Cigerette smoke Scallops (NOT to some shellfish)

Symptoms: 1/20/21 @11:00 am=Received 2nd dose of Moderna vaccine 1/21/21 @03:00 am=chills, headache, vaccine arm sore, bodyaches lasted for less than an hour 1/21-22/21= above symptoms resolved 1/23/21 @1:40pm=tachycardia around 130's bpm while talking /walking a few steps at work for about 3 minutes (normal resting HR=high 60'sto mid 70's) 1/23/21 @2:00pm -7:00pm= on and off tachycardia with HR between 90's to 120's at rest, checked in at hospital, IV hydration, all work up (EKG, troponins, BNP, CT angio, bloodwork) NORMAL.....discharged home 1/24-28/21 = fatigue. recurring tachycardia but HR only in low 100's with walking

Other Meds: HCTZ 12.5 mg daily Losartan 25 mg daily Multivitamins Probiotics Vit D 3 once weekly

Current Illness: none

ID: 1026516
Sex: F
Age: 51
State: VA

Vax Date: 10/14/2019
Onset Date: 10/15/2019
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Amoxycillian

Symptoms: Broke out in hives all over body

Other Meds: Lexapro

Current Illness: none- very healthy

ID: 1026517
Sex: F
Age: 54
State: MI

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: NONE

Allergies:

Symptoms: FATIGUE, HEADACHE, CHILLS AND FEVER. FATIGUE STARTED AT 6:00 PM THE EVENING OF 2/10/21 AND LASTED UNTIL 8:00 PM THE EVENING OF 2/11/21. WOKE UP ON 2/11/21 AT 6:30 AM WITH CHILLS AND FEVER (101.1), TOOK EXCEDRINE AND SYMPTOMS NEVER RETURNED. THE HEADACHE STARTED AT 5:00 PM ON 2/10/21 AND LASTED UNTIL THE MORNING OF 2/12/21.

Other Meds: DAILY VITAMIN & VITAMIN C

Current Illness:

ID: 1026518
Sex: F
Age: 35
State: CA

Vax Date: 09/30/2020
Onset Date: 09/30/2020
Rec V Date: 02/12/2021
Hospital:

Lab Data: I had an MRI on November 18 2020, an X-Ray on November 25, 2020 and an ultrasound on February 4, 2021. The MRI showed infraspinatus tendinosis and moderate grade parital-thickness bursal surface tear with traction changes and edema of the greater tuberosity near the area of th insertion of the infraspinatus tendon. There was a cortical edema within the humeral neck that measured 5mm in AP diameter. The X-Ray did not show anything of note. The ultrasound showed two abnormalities, and I would need to consult with my doctor on exactly what he saw on the images.

Allergies: Non

Symptoms: I have been diagnosed with SIRVA in my right shoulder from an improperly administered flu vaccine. I received my flu vaccine on 09/30/2020 at 4PM. I bled a lot when it was administered and the doctor commented ?Oh, do you normally bleed this much when you get vaccines?? I don?t. I later noted that the location of my shot was very high up on my arm, which I later learned is cause of my injury. Within a couple hours after the shot, my shoulder was very sore. By 9pm, the pain was so severe that I could not use my arm at all. The pain was excruciating for the next few days and then eventually peaked. I have had ongoing varying degrees of pain ever since. I have pain in my right shoulder and right bicep area. The pain is dull when not using my arm, and sharp when I perform certain movements like trying to reach up high, rotating my arm outward and bringing it across my chest. Sleeping is extremely difficult, and I wake up from pain with even a slight movement. I cannot sleep on the affected side at all. I started physical therapy on October 27, 2020. After four PT sessions, I had not seen any improvement. I decided to discontinue PT because I decided to seek alternative treatment with Dr., plus I did not feel comfortable being in an enclosed space with multiple people given the high numbers of Covid. I received a steroid injection into my shoulder on December 16, 2020, which did not do anything to alleviate my pain. On February 5, 2021 I underwent a new procedure with Dr. He used a Tenex device to ?clean out? the affected areas. I?m still waiting to see how/if my injury heals. I continue to have constant pain to this day.

Other Meds: Spironolactone 100mg, Concerta 36mg

Current Illness: None

ID: 1026519
Sex: F
Age: 59
State: IL

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none.

Allergies: bee stings, seasonal allergies

Symptoms: Individual reported that she has had a headache on and off since getting the vaccine for the last week that she feels is directly related to the vaccine.

Other Meds: None

Current Illness: None

ID: 1026520
Sex: M
Age: 30
State: TN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 2nd dose moderna given too early 1st dose given 01/21/2021-2nd dose given 02/11/2021- waited 30 min. with no adverse reactions noted - phone call to pt.02/12/2021 -unable to reach pt. -left message

Other Meds: none

Current Illness: none

ID: 1026521
Sex: F
Age: 21
State: MI

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Common low-grade fever and headache; followed by intense bloody nose with clotting

Other Meds:

Current Illness:

ID: 1026522
Sex: F
Age: 31
State: MI

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: swelling of throat treated with benadryl

Other Meds: yasmin, prenatal vit

Current Illness: none

ID: 1026523
Sex: F
Age: 47
State: WA

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Covid 19 rapid and pcr both negative

Allergies: Erythromycin

Symptoms: On 1-8-21 I woke with fever 100.4, chills, body aches and headache. Called my employer. Had a virtual visit about 2 hours later, fever up to 101.5. Got rapid covid test and pcr test. In the end, both negative. Fever got as high as 102.5 over the five days of being ill. Headache body aches chills persisted through day 4. Fatigue lasted through day 8. Back to work day 6 after 24 hours without fever. Treated with 1000 MG apap q 6 hours and 800 MG IBU q 8 hours.

Other Meds: Depo Provera

Current Illness: None

ID: 1026524
Sex: M
Age: 67
State: IL

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: 8 days after shot, red raised rash on/near injection site, minor itch. 24 hours later rash is now pink, minor itch.

Other Meds: Vitamin D3 1000 ICU, OTC

Current Illness: none

ID: 1026525
Sex: F
Age: 65
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: bees, penicillin, morphine

Symptoms: Woke with headache . by 1:30pm had a fever, 101.7, chills, headache all day. Lasted until about 9pm.

Other Meds: Latanoprost, multivitamin, Fish oil, curcumin, 1/2 baby aspirin flonase

Current Illness: none

ID: 1026526
Sex: F
Age: 49
State: MD

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: Complained of tingling of tongue and lower lip about 10 minutes after getting the vaccine. Then complained of left thumb tingling. After about 1hr,the tingling had gone. She did receive a Benadryl 25mg at 12:35pm. She was discharged with her son and advised to go to the ER if it got worse again and she had other symptoms. Vitals remained stable.

Other Meds: none

Current Illness: none

ID: 1026527
Sex: F
Age: 72
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: Eggs, wheat, corn, peanuts, iodine contrast, percocet, ciprofloxacin, clindamycin, doxycycline, sulfamethowazole-trimethoprim, prolea injection, fosamax and other bone building meds for osteoporosis

Symptoms: 7:45 Metallic taste in mouth with tongue, throat, and sternum a little burning sensation and also around the lips--began to subside after 5-10 minutes. Paramedics checked. ok to go home and take benadryl if needed. Did not take. At 9:00 pm skin on arms and upper body began to itch a little, noticed that I had 3 tiny raised hive-like, more like tiny bug bite without redness, only itching for approx. 5-10 minutes, one on left arm, one on left lower neck, and one at mid-waist left side. Itching stopped within 5-10 min. and bumps were gone. Should I take the 2nd dose on March 1st?

Other Meds: synthroid, HCTZ, Singulair, quinapril, pantoprazole, magnesium oxide, xanax, centrum, duloxetine, flonase, vitamin D, pravastatin, asa 81 mg,

Current Illness: Fibromyalgia, HTN, elevated Cholesterol, new diabetes without treatment yet

ID: 1026528
Sex: F
Age: 67
State: WA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Multiple bilateral joint pain: hips, knees, ankles, shoulders, wrists, neck, lower back (elbows spared); Headache; Dizziness; Resolved 24 hours after onset

Other Meds: Vitamin D 5000 units daily

Current Illness: None

ID: 1026529
Sex: F
Age: 79
State: NC

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: HA, vomiting, diarrhea

Other Meds: lisinopril, meloxicam, metformin, simvastatin

Current Illness: diverticulitis

ID: 1026530
Sex: F
Age: 49
State: NY

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Injection site red and swollen. Pain

Other Meds: Oral contraceptives (Junel)

Current Illness: None

ID: 1026531
Sex: F
Age: 31
State: KS

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: peanuts, avocado

Symptoms: Full body hives came up about 3 days after the vaccine. They first appeared on my legs, then also on arms and trunk. They improved with diphenhydramine but did not resolve. For about the next month (to the date of submitting this report), I have continue to have hives unless I continuously take higher doses of antihistamine - at least 50-100 mg of diphenhydramine in divided doses daily. I have done two rounds of 5 days of prednisone dose-down packs. The hives completely resolve when one the prednisone, but return a few days after it stops. I have never had any SOB, chest tightness, or other issues.

Other Meds: Bupropion, Cimzia, chlorthalidone

Current Illness:

ID: 1026532
Sex: F
Age: 77
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: NONE

Allergies: none

Symptoms: DIZZINESS,,,,, HEADACHE UNRELIEVED WITH TYLENOL, GENERALIZED ACHINESS, WEAKNESS,SPO2 L0W 90%

Other Meds: none

Current Illness: none

ID: 1026533
Sex: F
Age: 70
State: MD

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately 15 - 30 minutes after the vaccine was administered person felt lightheaded and weak . At time of injection she felt a warm sensation at the injection site and left shoulder hurt .

Other Meds:

Current Illness:

Date Died: 02/09/2021

ID: 1026534
Sex: M
Age: 97
State: MO

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data:

Allergies: ciprodex

Symptoms: resident had a stroke, sent to the hospital and died 4 days later

Other Meds: senna, pantoprazole, vit D2, fluoxetine, folic acid, melatonin, metoprolol

Current Illness:

ID: 1026535
Sex: F
Age: 77
State: NC

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Felt like I had the flu, sleepiness body aches ,fever 101.3-101.5, Started on 2-10-2021 lasted through till 2-12-2021

Other Meds: Janumet 50/1000mg., Invokana 300mg.,Glimepiride 4mg., Amlodipine Besylate10mg., Furosemide 20 mg., Losartan Potassium 100 mg., Metoprolol Tartrate 25mg., Vitamin E

Current Illness: Had a steroid injection in my back on January 14,2021

ID: 1026536
Sex: F
Age: 36
State: NH

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Pt has been self-treating at home with OTC medications. Advised to contact her PCP if symptoms continue.

Allergies: None known

Symptoms: The night of vaccination, pt began to experience nausea, loss of appetite, body aches, hot and cold sweats, headache, swollen lymph nodes, dizziness, and fatigue. These symptoms have continued up to the present, three days later. During the night of 2/10/21, she woke up in a state of delirium with disorientation to person, place, and time. This resolved within hours and she has not had any other episodes of altered mental status.

Other Meds: None

Current Illness: None known

ID: 1026537
Sex: M
Age: 75
State: MD

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: bactrim/septra

Symptoms: general, whole-body itching (mild)

Other Meds: metformin, glimepiride, irbesartan, HClThz, bupropion

Current Illness:

ID: 1026538
Sex: F
Age: 37
State: PA

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red spot and swelling noted about 2-3 inches below injection site. It was noted upon waking up on Thursday 2/11. Spot is 4-6 inches in diameter. It is warm to the touch. Treating with ice/heat and Benadryl.

Other Meds: Levothroxine Vitamin D3 Probiotic

Current Illness: None

ID: 1026539
Sex: F
Age: 45
State: KY

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Arm was itchy with a knot on it last night then woke up today with it swollen, red and feverish at injection site. It has remained that way throughout the day.

Other Meds: Allegra

Current Illness: N/A

ID: 1026540
Sex: F
Age: 82
State: TN

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient developed erythema at the injection site that continues to spread from the injection site down to the start of the fore arm in large patches. The patient describes the area as itchy and non-painful.

Other Meds:

Current Illness:

ID: 1026541
Sex: F
Age: 65
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/A

Allergies: Seafood - anaphylactic shock Codeine & PCN - vomiting

Symptoms: Tingling, mild edema and Redness around lips Itching right hand Patient given 25 md IM Benadryl for reaction and EMS - 911 called per protocol Patient placed on placed on stretcher, and examined inside ambulance After 10-15 minutes patient was released. Patient refused to be transported by ambulance to hospital

Other Meds: Vitamin D

Current Illness: Hypertension Thyroid Cancer Heart Attack in 2008 Stent/Balloon placed in arteries in 2018 High Cholesterol Arthritis

ID: 1026542
Sex: M
Age: 23
State: MO

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The second dose of COVID-19 vaccine was given 6 days earlier than recommended.

Other Meds:

Current Illness:

ID: 1026543
Sex: F
Age: 83
State: MO

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: Headache, body ache,tiredness

Other Meds: Hydroclorothiazide atorvastatin

Current Illness: None

ID: 1026544
Sex: M
Age: 58
State: GA

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Went for PCR test - negative.

Allergies: Phenergan

Symptoms: Had no reaction after the first shot. After second shot in 10 hours developed fever up to 104.8, then dropped to normal and felt fine for three days , then on February 9 th (4th day) developed severe watery diarrhea (still going) and fever up to 102.8. Next day fever was hovering between 100 and 101, then on February 11th - 99-100. Today is first day with no fever.

Other Meds: Olmesartan 40 mg QD, allopurinol 100 mg QD

Current Illness: None

ID: 1026545
Sex: F
Age: 64
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: No allergies to foods, medications, latex, or vaccine component reported.

Symptoms: Patient called clinic on 2/12/21 to report systemic reaction of nausea, headache, chills, and dizziness that began yesterday. States vaccine was given subcutaneously on left arm (instead of IM). Pt states left arm became red 2/11/21 about 3 x 3 in and now is 6 x 6 in, reddened, and warm. Took Tylenol for constitutional symptoms. Pt is upset vaccine was given subq and now has large local reaction.

Other Meds: Unknown

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm